Niek Klazinga, Trnava, Thursday

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Presentation transcript:

Niek Klazinga, Trnava, Thursday 20 2011 Measuring Health System Performance OECD’s Health Care Quality Indicator project Niek Klazinga, Trnava, Thursday 20 2011

. Why measuring health system outcomes is important; from life expectancy to well-being Combining public health research with Health Services research Some observations on the Slovak Republic in OECD data on quality of care How research can help

From PH to HSR Infectious diseases Cardio-vascular Diseases Cancer Functioning acute care Functioning primary care Functioning cancer governance

Conceptual Framework OECD Health Care Quality Indicator (HCQI) Project. (shaded area represents the current focus of the HCQI Project) Source: Arah OA, et al. A conceptual framework for the OECD Health Care Quality Indicators Project. International Journal Quality Health Care. 2006; Sep 18; Suppl.1:5-13. 5 5 5

Observations on Slovakia Life expectancy at birth 74.3 (79.1) Life expectancy at 65 17.1 (20.2) Adults in good health 34.4%(69.1) Adult smoking 25 (23.6) Alcohol use 8.9(9.7) Obesitas 16.7 (15.4)

30 day case fatality rates for AMI are improving

Breast Cancer survival is improving

Mammography screening, percentage of women aged 50- 69 screened, 2000 to 2009 (or nearest year) 1. Programme. 2. Survey. Source: OECD Health Data 2011.

COPD hospital admission rates, population aged 15 and over, 2009 (or nearest year) Portugal France Switzerland Mexico Slovenia Italy Malta Sweden Spain Finland Czech Republic Netherlands Latvia Singapore Canada OECD Germany Slovak Republic United Kingdom Poland Korea Belgium Iceland United States Israel Norway Hungary Denmark Austria Australia New Zealand Ireland Note: Rates are age-sex standardised to 2005 OECD population. 95% confidence intervals are represented by H. Source: OECD Health Data 2011.

Asthma hospital admission rates, population aged 15 and over, 2009 (or nearest year) Portugal Canada Mexico Italy Sweden Germany Netherlands Switzerland Iceland Hungary Denmark Czech Republic Slovenia France Ireland Spain Norway Belgium OECD Austria Australia Israel Poland United Kingdom Finland Malta New Zealand Singapore Korea United States Latvia Slovak Republic Note: Rates are age-sex standardised to 2005 OECD population. 95% confidence intervals are represented by H. Source: OECD Health Data 2011.

How (outcome) research can help Improving the underlying national data-infrastructure (registries, administrative databases, surveys) Interpretation of the scores of Slovakia in international comparisons Developing indicators Analysing findings and differences Evaluating policy interventions